Active NPI
Deg Pharmacy Inc
Doing business as Addison Discount Pharmacy
- Pharmacy
- Addison, AL
National Provider Identifier
1912098484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 111247
- Legal business name
- DEG PHARMACY INC
- Doing business as
- Addison Discount Pharmacy
- Practice address
- 30910 Hwy 278
Addison, AL 35540 - Phone
- (256) 747-6342
- Fax
- (256) 747-6106
- NPI assigned
- Sep 27, 2006
- Last updated
- Apr 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Godbee, R PH
- Title
- Owner Pres MGR
- Phone
- (256) 747-6342
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 111247 | AL | Primary |
Addresses
Primary practice location
30910 Hwy 278
Addison, AL 35540
Mailing address
PO Box 180 30910 Hwy 278
Addison, AL 35540
Phone (256) 747-6342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0117362 | Other | NCPDP NABP |
Other names 1
- Addison Discount Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930010524 | AL | DME Supplier - Pharmacy | 0446462972 | Practice locations: Addison, AL |
| O20101112000145 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 0446462972 | Practice locations: Addison, AL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Addison, AL
- NPI 1376625970
-
- Nurse Practitioner
- Cullman, AL
- NPI 1679963078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207526400000",
"number": "1912098484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 180 30910 HWY 278",
"city": "ADDISON",
"state": "AL",
"postal_code": "35540",
"telephone_number": "256-747-6342",
"fax_number": "256-747-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30910 HWY 278",
"city": "ADDISON",
"state": "AL",
"postal_code": "35540",
"telephone_number": "256-747-6342",
"fax_number": "256-747-6106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEG PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2008-04-07",
"status": "A",
"authorized_official_last_name": "GODBEE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER PRES MGR",
"authorized_official_telephone_number": "256-747-6342",
"authorized_official_credential": "R PH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AL",
"license": "111247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP NABP",
"identifier": "0117362",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Addison Discount Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Addison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.